142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Maladaptive drinking patterns and alcohol-related and intentional injuries: A cross-national comparison between China and South Korea

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 4:50 PM - 5:10 PM

S. Patricia Chou, PhD , Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD
Sungsoo Chun , Seoul, South Korea
Chuanjun Zhuo , psychiatry, Tianjin Anning Hospital, Tianjin, China
In view of lack of research findings addressing the disparities observed on rates of alcohol-related and intentional injuries, and the alcohol-injury associations between China and S. Korea, we conducted a cross-national comparison in hazardous alcohol use patterns and their relations to injuries. 

Our results indicated that the S. Korean ED (emergency department) patients had significantly greater rates of HED (heavy episodic drinking, i.e., 5+ drinks at least monthly) and drinking problems symptomatic of dependence (i.e., RAPS4) than those of the Chinese counterparts (60.4% vs. 32.2% and 22.8% vs. 15.22%, respectively). Further, multivariate logistic regression revealed that the S. Korean ED patients were about 2 times more likely to sustain an alcohol-related injury than among the Chinese patients. In contrast, the Korean study subjects were approximately 30% less likely to incur an intentional injury compared to their Chinese counterparts.

As both China and S. Korea are undergoing an unprecedented economic growth and social changes there is a dramatic increase in the prevalence of alcohol consumption, alcohol use disorders, and associated consequences including injuries. This study, therefore, provided a glimpse and insights into the complex interplay of social norms, alcohol control measures and policies, alcohol use and related injuries.

Learning Areas:

Public health or related public policy
Public health or related research

Learning Objectives:
Analyze cross-national differences with respect to hazardous drinking patterns and the alcohol-injury associations. Discuss evidence and insights into the intricacy of social norms, alcohol control measures and policies, alcohol use, maladaptive use patterns and their respective roles in injury occurrence.

Keyword(s): Public Health Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the Executive Director of the WHO/NIAAA Collaborative Emergency Room Study - Asian Region for numerous years. I have also published many significant research papers in the area of alcohol & injury, cross-national comparisons of AUD and comorbidity of alcohol, tobacco and other drugs and alcohol epidemiology.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.